Individual provider Active NPI

Daniel Edward Murray Jr., O.D.

  • Optometrist
  • Dothan, AL
National Provider Identifier
1477545770
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S900TA450 Issued in AL
Practice address
550 John D Odom Rd
Dothan, AL 36303-9461
Phone
(334) 699-5999
Fax
(334) 479-0631
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S900TA450 AL Primary

Addresses

Primary practice location

550 John D Odom Rd
Dothan, AL 36303-9461

Mailing address

550 John D Odom Rd
Dothan, AL 36303-9461
Phone (334) 699-5999

Other identifiers 2

IdentifierTypeStateIssuer
51044874OtherALBLUE CROSS BLUE SHIELD
000044874MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000828 AL Practitioner - Optometry 7315962933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 John D Odom Rd
Dothan, AL 36303-9461
Phone (334) 699-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S900TA450ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Vision Source Inc Optometrist CurrentSince Dec 1, 2010 Accepting new patients

Locations

5630 W Main St
Ste 5
Dothan, AL 36305
Phone (334) 699-5999

Interoperability endpoints

  • Direct secure messaging: danielmurray@murrayvisions.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1477545770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-699-5999",
            "fax_number": "334-479-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-699-5999",
            "fax_number": "334-479-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S900TA450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51044874",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000044874",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.